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'''E'''mergency '''C'''ritical Care '''I'''n'''P'''atient.  
'''E'''mergency '''C'''ritical Care '''I'''n'''P'''atient.  


== ECIPs related to MICUs / under one of the Critical Care services ==
A critical care / MICU ECIP is a patient who was under the care of a Critical Care service in the ER and never made it to the MICU (see [[EMIP]] for scenarios). See [[Cognos_SubServices table]] in [[CCMDB.accdb]] for list.
{{Discuss |
* Actually I am not sure if "* Critical Care / *" would always be MICU, the list includes "HSC Critical Care / Orthopedics" and "HSC Critical Care / Plastics", what does that even mean? Ttenbergen 15:36, 2020 October 6 (CDT)
}}
Such a patient will show up in the [[Cognos Report Integrator]] listings just like an [[EMIP]] patient.
{{Discuss |
* Are collectors finding these in [[Cognos Admitter]] / [[Patient Viewer Tab Cognos ADT]]?


* How are these entered when they are found?
{{LegacyContent
}}
| explanation=They are really just a special case of a Critical Care patient whose only [[Boarding Loc]] entry is that site's ER. See [[Change from Service Location to Service, Boarding Loc and Transfer Ready DtTm tmp entry]], [[2020-10 EMIP changes]].
| successor=[[Boarding Loc]]
| content=
== Entering an ECIP ==
They are really just a special case of a Critical Care patient whose only [[Boarding Loc]] entry is that site's ER. See [[Change from Service Location to Service, Boarding Loc and Transfer Ready DtTm tmp entry]], [[2020-10 EMIP changes]].


== ECIPs related to SICUs / '''not''' under one of the Critical Care services ==
=== "But I never had an ECIP code" ===
A surgical / SICU ECIP is a patient who...
No one had an ECIP code. This sort of thing was not collected until now, and we used to think it doesn't exist. It exists now. However, since we no longer use special codes for these, no ECIP codes were generated.
{{Discuss |
* what would even be the actual definition of a surgical / SICU ECIP? There is no surgical equivalent to a "Critical Care service" it seems. Ttenbergen 15:36, 2020 October 6 (CDT)
}}


A patient who is '''not''' under the care of one of the Critical Care services (see [[Cognos_SubServices table]] in [[CCMDB.accdb]] for list) may show up in the [[Cognos Report Integrator]] listings if they were under one of a set of services we identified (see "* Surgery /*" in [[Cognos_SubServices table]] in [[CCMDB.accdb]] for list). However, we have no way to tell a patient under e.g. a surgery service who then went to a unit (or home) from a patient under such service who should have gone to ICU but didn't get there.
=== Collection Instructions  ===


{{Discuss |
*ECIPs under MICU service to Medicine units enter the following for the Medicine profile:
* As per email discussion with Lisa: "We could also have a safety net where by the other ICU collectors could email the collectors at HSC when they receive an admission from HSC ER?"
** For [[Previous Location]] enter <site> MICU, for GGH enter GH_CC
** If others receiving an admission from HSC ER would be a filter, we might actually have that info in Cognos, it just would not be showing up in your (ie HSC’s) data at this time. But that would mean collectors would always need to review patients who went to another ICU from the HSC ER (and likely the same for the STB ER, possibly even the GRA one...), so that seems like a lot of overhead. Are we OK to just identify SICU ECIPs as a population we likely usually don't capture? Ttenbergen 15:36, 2020 October 6 (CDT)
** For [[Pre-admit Inpatient Institution]] enter <site> MICU, for GGH enter GH_CC
}}
** For [[Previous Service]] enter critical care


== Collecting this info under [[Boarding Loc]] ==
== Identifying an ECIP ==
{{Discuss |
=== ECIPs related to '''MICUs''' / under one of the Critical Care services ===
*Somewhere on this page it said "Currently any ECIP are documented in CCMDB TMP project [[Boarding Loc]]." How so? The only [[Boarding Loc]] entry for this I can find is "GRA_ER". There is a discussion about this under [[Boarding_Loc#Special_Case_-_EMIP.2FECIP]] but it is incomplete. Ttenbergen 15:36, 2020 October 6 (CDT)
A critical care / MICU ECIP is a patient who was under the care of one of the Critical Care service(s) in the ER and never made it to the MICU (see [[EMIP]] for scenarios). See [[s_Cognos_Services table]] in [[CCMDB.accdb]] for list.  
}}


== ECIPs in other locations ==
{{Discuss |
2020 Feb 18:  Allan thoughts were not to add ECIP, call it NCIP because they are not only in ER.  I think he was not clear about what this is suppose to be. Not resolved.
** So where else would these be? We already collect the PACU ones as boarding, but are there other locations at HSC? Eg does someone get accepted on H6 and then remains there instead of coming to the unit? Ttenbergen 15:36, 2020 October 6 (CDT) }}


== How to identify ECIPs in [[Cognos EPR Report]] ==
Such a patient will show up in the [[Cognos Report Integrator]] listings just like an [[EMIP]] patient.  
As [[EMIP]], but with a Critical Care service.


== How to identify critical care /MICU ECIPs in EPR Reports ==
== ECIPs related to SICUs ==
EPR reports:
A critical care surgical / SICU ECIP is a patient who was under the care of one of the Critical Care Surgical Service(s) in the ER and never made it to the SICU.  In COGNOS this will appear in the CSS as a critical care Trauma service, or Critical care Plastic surgery service, or Critical care Neurosurgery service etc


'''[[Admission Register]]'''
*choose facility
*choose dates needed
*choose ER as unit


*will list all inpatient clients in ER however, you can see which ones are under Critical Care Service
A patient who is '''not''' under the care of one of the Critical Care services (see [[s_Cognos_Services table]] in [[CCMDB.accdb]] for list) may show up in the [[Cognos Report Integrator]] listings if they were under one of a set of services we identified (see "* Surgery /*" in [[s_Cognos_Services table]] in [[CCMDB.accdb]] for list). However, we have no way to tell a patient under e.g. a surgery service who then went to a unit (or home) from a patient under such service who should have gone to ICU but didn't get there.
*see below to cross reference which patients under critical care were discharged or transferred to another location, within your hospital, other than ICU
* a lengthy discussion was had re. SICU ECIP's which we have not ever had, but could still in theory happen.  I am confident that COGNOS would capture these under the critical care service, the likelihood of this happening is very small, as a patient who requires an emergent surgery would go to the OR and either SICU/PACU post op or to a surgical ward.  COGNOS should capture the critical care surgical service.  We routinely capture the SICU overflow in PACU through COGNOS, SICU has not overflow in the ER [[User:Lkaita|Lisa Kaita]] 11:08, 2024 March 12 (CDT)  
*this list will also show you patients that are currently admitted in the ER under critical care service (if you are running a report with the most current date/time)


'''[[Discharge Register]]'''
*choose facility
*choose dates needed
*choose ER as unit
*choose attending providers "all"


* will list all inpatients, look for those patients under critical care service, that were discharged to another facility or expired
== How to identify ECIPs in [[Cognos EPR Report]] ==
 
As [[EMIP]], but with a Critical Care service.
'''[[Transfer Register]]'''
*choose facility
*choose dates needed
*choose ER as unit
*choose "from location" under "unit filters on"
*choose "between unit transfers only" under "transfer type"
 
* will list all inpatients, look for those patients under critical care service, that went to a location other than ICU


== Related articles ==  
== Related articles ==  
{{Related Articles}}
{{Related Articles}}
}}




[[Category: Hospital EPR]]
[[Category: Overflow]]
[[Category:EMIP]]
[[Category:EMIP]]

Latest revision as of 10:08, 12 March 2024

Emergency Critical Care InPatient.


Legacy Content

This page contains Legacy Content.

Click Expand to show legacy content.

Entering an ECIP

They are really just a special case of a Critical Care patient whose only Boarding Loc entry is that site's ER. See Change from Service Location to Service, Boarding Loc and Transfer Ready DtTm tmp entry, 2020-10 EMIP changes.

"But I never had an ECIP code"

No one had an ECIP code. This sort of thing was not collected until now, and we used to think it doesn't exist. It exists now. However, since we no longer use special codes for these, no ECIP codes were generated.

Collection Instructions

Identifying an ECIP

ECIPs related to MICUs / under one of the Critical Care services

A critical care / MICU ECIP is a patient who was under the care of one of the Critical Care service(s) in the ER and never made it to the MICU (see EMIP for scenarios). See s_Cognos_Services table in CCMDB.accdb for list.


Such a patient will show up in the Cognos Report Integrator listings just like an EMIP patient.

ECIPs related to SICUs

A critical care surgical / SICU ECIP is a patient who was under the care of one of the Critical Care Surgical Service(s) in the ER and never made it to the SICU. In COGNOS this will appear in the CSS as a critical care Trauma service, or Critical care Plastic surgery service, or Critical care Neurosurgery service etc


A patient who is not under the care of one of the Critical Care services (see s_Cognos_Services table in CCMDB.accdb for list) may show up in the Cognos Report Integrator listings if they were under one of a set of services we identified (see "* Surgery /*" in s_Cognos_Services table in CCMDB.accdb for list). However, we have no way to tell a patient under e.g. a surgery service who then went to a unit (or home) from a patient under such service who should have gone to ICU but didn't get there.

  • a lengthy discussion was had re. SICU ECIP's which we have not ever had, but could still in theory happen. I am confident that COGNOS would capture these under the critical care service, the likelihood of this happening is very small, as a patient who requires an emergent surgery would go to the OR and either SICU/PACU post op or to a surgical ward. COGNOS should capture the critical care surgical service. We routinely capture the SICU overflow in PACU through COGNOS, SICU has not overflow in the ER Lisa Kaita 11:08, 2024 March 12 (CDT)


How to identify ECIPs in Cognos EPR Report

As EMIP, but with a Critical Care service.

Related articles

Related articles:
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